Extraction Case Planning Assistant
Systematically plan extraction cases with anatomical risk assessment and surgical protocols
What You Can Do
This skill transforms clinical patient data into structured pre-operative extraction plans by systematically assessing anatomical complexity, stratifying impaction severity, identifying anatomical hazards, and generating evidence-based surgical protocols tailored to individual cases. You'll produce documented operative plans that improve case stratification, reduce operative time variability, support informed consent conversations, and create defensible clinical records for simple through complex extractions.
Features
Systematically evaluate proximity of extraction site to inferior alveolar canal, lingual plate, maxillary sinus, and adjacent tooth roots with documented risk stratification
Categorize impaction depth (submucosal, intraosseous, full osseous) and angulation (mesial, distal, vertical, horizontal) using radiographic data
Assign case difficulty levels and operative time estimates based on anatomical, radiographic, and patient factors to guide surgeon assignment
Create step-by-step operative approaches including flap design, bone removal strategy, tooth sectioning, and closure recommendations
Adjust protocols for medical comorbidities, medications, bone density, age, and renal/hepatic function with anesthesia and antibiotic considerations
Generate patient-facing and clinical summaries of risks (nerve injury, sinus involvement, dry socket) with incidence rates for consent conversations
Develop structured case summaries for educational use with learning objectives, anatomical pearls, and complications encountered
Example Output
Example 1: Impacted Maxillary Canine
CASE COMPLEXITY: Moderate
- Impaction Type: Intraosseous, vertical orientation, 8mm from alveolar crest
- Critical Anatomy: Proximity to lateral incisor root (2mm), nasal floor (3mm)
- Surgical Approach: Limited vestibular flap, bone removal over occlusal surface, careful elevation to preserve lateral incisor vitality
- Estimated Time: 35–45 minutes
- Key Risks: Lateral incisor damage (5%), alveolar bone resorption, nasal floor perforation (2%)
Example 2: Impacted Mandibular Third Molar
CASE COMPLEXITY: High
- Impaction Type: Intraosseous, mesial angulation, IAN at 4mm distance
- Lingual Plate Status: Intact, 3mm thickness
- Surgical Approach: Extended surgical flap, distal bone removal first, careful lingual flap protection, tooth sectioning (coronal and root separation), closure with resorbable suture
- Estimated Time: 50–75 minutes
- Anesthesia: Infiltration + IAN block, consider deeper sedation given complexity
- Key Risks: Inferior alveolar nerve paresthesia (3–5%), lingual nerve injury (1%), dry socket (15–20%), postoperative swelling
Example 3: Multi-tooth Extraction (Medically Complex Patient)
CASE COMPLEXITY: High (Medical Complexity Modifier)
- Patient Factors: Type 2 diabetes (HbA1c 7.8%), on warfarin, age 68
- Extractions Planned: #5, #12, #20, #28 (surgical removal indicated)
- Protocol Modifications: Antibiotics (clindamycin 600mg 1hr pre-op), warfarin dosing review with PCP, extended operative time allocation (90 min), gentle bone handling, careful hemostasis, resorbable sutures preferred
- Post-op: Chlorhexidine rinses (0.12%) starting day 5, no NSAIDs (warfarin interaction), acetaminophen preferred
What's Included
- SKILL.md: Complete skill instruction file with use cases and decision logic
- Extraction Case Planning Template: Structured form for radiographic assessment, anatomical documentation, impaction classification, and protocol generation
- Impaction Classification Checklist: Quick-reference matrix for depth, angulation, and position assessment
- Surgical Protocol Framework: Step-by-step operative approach templates for simple, moderate, and complex extractions
- Anatomical Risk Reference Guide: Evidence-based risk percentages, critical anatomy thresholds, and nerve proximity management strategies
Who It's For
- Oral and maxillofacial surgeons — Planning surgical extractions and stratifying case complexity for operative scheduling
- Surgical residents and fellows — Learning systematic case evaluation and protocol development with documented clinical reasoning
- General dentists with extraction privileges — Assessing anatomical risk for cases appropriate for chairside vs. surgical referral
- Dental anesthesiologists — Determining anesthesia depth and operative time estimates for multi-tooth and complex cases
- Dental educators — Creating structured teaching cases with documented complexity and learning objectives for student training
Best For
- Pre-operative planning for impacted third molars and canines with anatomical risk assessment
- Multi-tooth surgical extractions in medically complex patients requiring protocol modifications
- Case stratification and difficulty assignment for surgical scheduling and resident case selection
- Informed consent documentation with patient-specific risk communication and incidence data
- Resident and student education with structured case presentations and operative pearls
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